Stacie Cleveland, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R31130 Issued in ND

Practice address

367 2ND St NW
Valley City, ND 58072-2971

Phone

(701) 845-6550

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHI Health Connect at Home-FargoGroup PAC ID 4789870924, shared by 12 NPIs, 2 clinicians

Unity Family HealthcareGroup PAC ID 9830003516, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CHI Health Connect at Home-Fargo

  dba CHI Health at Home

  • Community Based Hospice Care Agency
  • Breckenridge, MN
  • NPI 1821303397

  W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unity Family Healthcare

  dba Little Falls Orthopedics

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment Care Compare group NPD
• CHI Health Connect at Home - Fargo

  dba CHI Health at Home-Bismarck

  • Health Service Clinic/Center
  • Bismarck, ND
  • NPI 1790377448
  Medicare reassignment NPD
• CHI Health Connect at Home-Fargo

  dba CHI Health at Home - Breckenridge

  • Health Service Clinic/Center
  • Breckenridge, MN
  • NPI 1215511167
  Medicare reassignment NPD
• Unity Family Healthcare

  dba Family Medical Center

  • Family Medicine Physician
  • Little Falls, MN
  • NPI 1275762650
  NPD
• Unity Family Healthcare

  dba CHI Health at Home

  • Home Health Agency
  • Little Falls, MN
  • NPI 1952329047
  NPD
• Lisbon Area Health Services

  dba CHI Lisbon Health

  • Medicare Defined Swing Bed Hospital Unit
  • Lisbon, ND
  • NPI 1033292875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1689398505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 2ND ST NW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722971",
            "telephone_number": "701-845-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 2ND ST NW",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722971",
            "telephone_number": "701-845-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "STACIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R31130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Avenue Pharmacy, Inc (Central Avenue Health Mart Pharmacy)
• CHI Health Connect at Home - Fargo (CHI Health at Home)
• CHI Health Connect at Home-Fargo (CHI Health at Home)
• City County Health District (City County Health and Home Care)
• City County Health District (City County Health and Home Care)
• Concept Dentistry, PC Valley City
• Creative Therapy
• Creative Therapy PLLC
• Angela Marie Curtis
• Dakota Clinic LTD Valley City

• Family Nurse Practitioner in Valley City, ND
• Providers in Valley City, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.